Organization
SHINE SPEECH LANGUAGE PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE CHRISTIANSON (OWNER)
(303) 596-4113
Entity
Organization
Contact information
Practice address
209 NELSON ST, ERIE, CO 80516-2516
(303) 596-4113
Mailing address
209 NELSON ST, ERIE, CO 80516-2516
(303) 596-4113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000368
CO
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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